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Deactivated NPI 1922422906 Deactivated / Inactive NPI Female Practitioner

Addie Baskerville , RN

Registered Nurse • Flushing, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Addie Baskerville has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 11, 2014
NPI Deactivation Date October 19, 2022
Total Practice Duration ~8 Years of Practice (2014 – 2022)

Professional Overview & Biography Verified Profile Summary

Addie Baskerville, RN was a registered Registered Nurse practicing in Flushing, NY. Throughout an active medical career spanning 8 years, Addie Baskerville provided care at the practice location at 4125 163RD ST until profile deactivation on 2022-10-19.

Practice Location & Contact Primary Location

Practice Address

4125 163rd St

Flushing, NY 113582657

Telephone 7185718010
Associated Practice Facility / Clinic
🏢 Mediscan Facility NPI 1629406673

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Flushing, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 10.1 Yrs
Regional Practice Density
276 Specialists

Practicing in Flushing, NY (26641 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License NY 673739

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Ina Johnson , RN

Registered Nurse

NPI 1124458500

Registered Nurse

Mary Gatlin

Registered Nurse

NPI 1639586712
Jeanne Stuhldreher , BSN

Registered Nurse - School

NPI 1740610120

Bachelor of Science in Nursing

Dana Siegel , MS, CF-SLP

Speech-Language Pathologist

NPI 1790118511

Master of Science, Clinical Fellow in Speech-Language Pathology

Jennifer Mondesir

Registered Nurse

NPI 1881005361
Marcella Brunshtein , SLP

Speech-Language Pathologist

NPI 1992139745

Speech-Language Pathologist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 19, 2022

Record deactivated on October 19, 2022

NPI Profile Active February 11, 2014

NPI status registered as active in NPPES database

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Updated Practice Location February 11, 2014

Registered at 4125 163RD ST, FLUSHING, NY 113582657 (Tel: 7185718010)

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Updated Business Mailing Address February 11, 2014

Registered at 160 W SANDFORD BLVD, MOUNT VERNON, NY 105504347 (Tel: 7573296354)

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Provider Name / Credentials Updated February 11, 2014

Recorded as ADDIE BASKERVILLE, RN

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2014

Registered Nurse (License #673739 in NY)

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Initial NPI Registration & Enumeration February 11, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922422906
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 11, 2014
Last Update: February 11, 2014
Deactivation Date: October 19, 2022

Mailing Address

160 W Sandford Blvd

Mount Vernon, NY 105504347

Phone: 7573296354

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.